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Home My WebLink AboutPermit Electrical 2007-8-21 ~ 225 FIFTH STREET 0 SPRINGFIELD, OR 97477 0 PH:(54])726-3753 0 FAX: (54])726-3689 ELECTRICAL PERMIT APPLICATION City Job Number COW\ ZOO --, - 0 / / Lf 0 Date 1. LOC4TION OF INSTALL4TION: ) 3 c; I ?1f:;M~+ 3. C01UPLETE FEE SCHEDULE BELOH' &+- Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 OWNER INSTALLATION Limited EnergylResidential $ 25.00 The installation is being made on property I own which Limited Energy/Commercial $ 45.00 is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges Owners Signature' NOT1~:~MIT SHAll EXPtRE \f THi. ~TOTAL OF ABOVE / ~ 0 . TH~HORIZEO IINDER THIS PERMIT \StJ>>~tate Surcharge If~ AU MMENCEO OR IS ABANDONED fOf\o% Administrative Fee ILf CO . D^V PERIOD 5% Technology Fee 7 ANY i 80 1"1 0 Inspection Request: 726-3769 TOTAL - ., I 7 "2 ?::- LEGAL DESCRIPTION: 17D:;2'532. 07700 JOB DESCRIPTION: Irc:l. [ ~ l:, \:1\_1 S t.1 (] ~€L Permits .are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. CONTRACTOR 'INSTALLATION ONLY 2. Electrical Contractor ~..,~ ~.~ Address ! ~ D K / /f/ C, c... b ;) v'\-1 )/ It (... ~ , - ( City "t- U7 ~ Phone _r~ 39 Zil3 Supervisor License Number ., 9,C;- .5 Expiration Date /17 10-- /J 7 Constr. Contr. Number / f)- '3S"""z..... C (- 1-0'0 Expiration Date Signature of Supervising Electrician ----r~ D 9- (l~L Owners Name vUlt (l.f(... /3. ~ I c;.Pf=\ 'IS C) 1f, ~ c E-rz... ?Ie-ASA-~+- ~t Address City Phone A. New Residential- Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or . Feeder $106.00 $ 19.00 $50.00 B. Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN o Its Reconnect Only z ?() $ pa1>0 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 /40 C. Temporary Services or Feeders Installation, Alteration or RelocatiQn I t _All t:lfflON: Oregon Jaw requ res you 0 200 Amps 'foW~ rules adopted by the-Ore6~CUtilltY 201 Amps ~~tmll Center. 1bQ$8 rule_~.- forth 401 Amps III ~1'()o10through 0Iat9N~1. Over 600 .~.&n~~:~:~':.Pf D. Branch ~ti"Q~M.~ity~ New Alteration or ~A'P\~.2344). One Circuit $ 43.00 Each Additional Circuit or with Service or Feeder Permit $ 3.00 E. Miscellaneous (Service/feeder not included) -Each Installation Shared Drive(T:)/Building Fonns/Electrical Pennit Application 8-06.doc CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01140 ISSUED: 08/01/2007 APPLIED: 08/01/2007 EXPIRES: 02/20/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1391 PLEASANT ST ASSESSOR'S PARCEL NO.: 1703253207700 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Upgrade 200amp service TYPE OF USE: Repair Residential Owner: MARK BOLLINGER Address: 1391 PLEASANT ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor BOB FISHER ELECTRIC INC License 96275 BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: R-3 Height of Structure: Secondary Occupancy Group: Type of Heat: Primary Consu-~ti.<w.Type VB Water Type: Secondary <Nhll.Meii9n DE!~ ~pe: # of BedrooijHIS PERMIT It1All EXPIRE IF TH. ath: AUTHORIZED UNDER THIS PERMIT 1;rM. ed Building: n/a "ulVl1fti4~eo eft is A6ANB9NCS r~ ANY 180 DKt PERIOD. I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Expiration Date 01125/2008 Phone 541-689-7973 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: A. II:'~""""" follow ruIeI adopted by ....Oteoori UIIDIr Notfficatlon Cer8. 1ItoIt........ " OAR 8S2-G01-GOtO....... OAR...... 0080. You mar........ .......... .....1...."........ ~...~ I Valuation DescriPtion""=':;::'~ $ Per Sq Ft Square Footage or multiplier or Bid Amount Notes: Description Type of Construction Page 1 of2 Value Date Calculated Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Perm Serv/Fdr 200 amps or less + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Perm Serv/Fdr 200 amps or less Amount Paid Date Paid $7.00 $3.50 $5.60 $70.00 $14.00 $7.00 $11.20 $140.00 8/1/07 8/1/07 8/1/07 8/1/07 8/21/07 8/21/07 8/21/07 8/21/07 Total Amount Paid $258.30 I Plan Reviews I CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01140 ISSUED: 08/01/2007 APPLIED: 08/01/2007 EXPIRES: 02/20/2008 VALUE: Receipt Number 1200700000000000986 1200700000000000986 1200700000000000986 1200700000000000986 2200700000000001324 2200700000000001324 2200700000000001324 2200700000000001324 To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. L Reouired Insoections I Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Pal!e 2 of 2 Date 225 Fifth Street Sp.ringfi~ld, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01140 COM2007-01140 COM2007-01140 COM2007-01140 Payments: Type of Payment Cash Change Job/Journal Number COM2007-01140 COM2007-01140 COM2007-01140 COM2007-01140 Payments: Type of Payment Cash Change cReceintl RECEIPT #: Date: 08/21/2007 2200700000000001324 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By BOB FISHER ELECTRIC BOB FISHER ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb In Person djb In Person Payment Total: Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By BOB FISHER ELECTRIC BOB FISHER ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb djb In Person In Person Payment Total: Page 1 of 1 10:28:34AM Amount Due 140.00 7.00 11.20 14.00 $172.20 Amount Paid $180.00 ($7.80) $172.20 Amount Due 140.00 7.00 11.20 14.00 $172.20 Amount Paid $180.00 ($7.80) $172.20 8/21/2007